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Missouri rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.07 / $524.92 / $598.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.95 / $677.45 / $1,039.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.98 / $792.24 / $1,360.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.80 / $963.55 / $15,556.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.73 / $848.57 / $5,060.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.53 / $735.64 / $1,390.54